Appointments

Please contact me to help me set up an appointment with Dr. Garg. Here is my contact information:

Section 1: Your Personal Information
First Name*
Last Name*
Address
City
State
Zip
Phone with Area Code*
Phone type: Home Office Cell Friend/Relative's Phone
Email Address

Section 2: About Your Appointment
Do you need a referral from your primary care physician? Yes No Not Sure
When would you like your appointment?
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What time would you like to be scheduled?
:


  
240 Williamson St., Suite 300, Elizabeth, NJ, 07202   Ph: 908-994-8880   Fx: 908-994-8882
2052 Morris Ave, Union, NJ 07083   Ph: 908-206-1117   Fx: 908-994-8882


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